Individual
BRIAN PATRICK FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
768586
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124034
TX
Other
Enumeration date
08/01/2013
Last updated
08/12/2019
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